【摘要】：目的:研究名老中醫(yī)治療高血壓病的方法和經(jīng)驗,為高血壓病的中醫(yī)藥治療提供依據(jù)。方法:將搜集到的413例80年代后名老中醫(yī)治療高血壓病的驗案輸入到病歷管理平臺,應(yīng)用此平臺進行辨證規(guī)律、舌脈規(guī)律、用藥規(guī)律分析以及基于改進Apriori算法挖掘研究。結(jié)果:(1)頻率分析:(1)證型:常見證型為氣虛證、血瘀證、氣滯證、陰虛證、濕熱證、陽亢證、熱毒證,且各種證型常相兼為病;(2)癥狀:多見眩暈、頭痛、易怒、倦怠、胸悶、乏力;(3)舌質(zhì):多見紅舌、淡舌;(4)舌苔:多見薄苔、黃苔、白苔;(5)脈象:多見數(shù)脈、弦脈、細(xì)脈。(2)用藥分析:(1)用藥頻率:413例驗案中共用中藥230種,次數(shù)最多者為川芎,次數(shù)最少者為地骨皮、青蒿等;(2)改進Apriori算法挖掘研究:最小置信度選擇0.1,分別對所有高血壓病驗案、7種常見證型高血壓病驗案、6種常見臨床癥狀高血壓病驗案進行數(shù)據(jù)挖掘,分別挖出1-25個不同數(shù)量的核心方。結(jié)論:分析、挖掘結(jié)果具有臨床意義,能夠為高血壓病的中醫(yī)藥治療提供客觀的數(shù)據(jù)支持,為臨床高血壓病的辨證提供幫助,為名老中醫(yī)經(jīng)驗傳承提供新方法。
[Abstract]:Objective: To study the methods and experience of traditional Chinese medicine in the treatment of hypertension and provide the basis for the treatment of essential hypertension. Methods:413 cases of hypertension were input to the medical record management platform in the collected 413 cases in the 1980 's. The pattern of differentiation, the rule of tongue and the law of the tongue and the law of the medication were analyzed and the research was carried out on the basis of the improved Apriori algorithm. Results: (1) Frequency analysis: (1) Syndrome type: The common type of syndrome is Qi deficiency syndrome, blood stasis syndrome, qi stagnation syndrome, yin deficiency syndrome, damp-heat syndrome, yang hyperactive syndrome, and heat-toxin syndrome, and all types of syndromes are often associated with diseases; (2) symptoms: the most common vertigo, headache, irritability, listlessness, chest distress, and asthenia; (3) hyoid: common red tongue, pale tongue; (4) tongue coating: common thin moss, yellow and white moss; (5) pulse condition: more common pulse, chord and fine vein. (2) Analysis of the medication: (1) The frequency of the drug: (1) the frequency of the drug: in 413 cases, the total number of Chinese medicines is 230 species, the most frequent is the Sichuan province, the number of times is the ground skin, the sweet wormwood and the like; (2) the research of the Apriori algorithm is improved: the minimum confidence is selected to be 0.1, Data mining was carried out on all hypertension cases,7 common types of hypertension,6 common clinical symptoms and essential hypertension, and 1 to 25 different numbers of core parties were excavated. Conclusion: The results of the analysis and excavation are of clinical significance, which can provide objective data support for the treatment of essential hypertension, and provide a new way for the development of the experience of the old Chinese medicine in the name of the syndrome differentiation of the clinical hypertension.
【學(xué)位授予單位】：山東中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R249;R259

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